Exam 19: Coordinating Care for Patients With Connective Tissue Disorders

An adult patient is diagnosed with fibromyalgia.The patient asks the nurse whether a recent of infection with the Coxsackie B virus could have caused fibromyalgia.Which response by the nurse is the most appropriate?

A patient asks the nurse if there are any conditions that can exacerbate systemic lupus erythematosus (SLE).Which response by the nurse is the most appropriate?

A nurse is caring for a patient with systemic lupus erythematous (SLE)who is taking hydroxychloroquine (Plaquenil).When providing care for this patient,the nurse monitors for which adverse effect associated with the prescribed medication?

An Asian male accompanies his spouse to the clinic and states,"I want you to fix my wife and tell her that there is nothing wrong with her." The patient reports pain,sleep disorders,and stiffness.Which would be most appropriate for the nurse to include in a plan of care for this family?

The nurse is discussing goals to relieve pain and fatigue with a patient newly diagnosed with fibromyalgia.Which goal statement would be realistic for this patient to achieve within 30 days?

A patient recently diagnosed with rheumatoid arthritis (RA)asks the nurse if the disease is caused by ethnicity.Which response by the nurse is the most appropriate?

The nurse is counseling an adult patient with fibromyalgia.What are some elements of counseling that can help this patient develop effective coping skills?

A patient with systemic lupus erythematosus (SLE)is being treated with immunosuppressant drugs and corticosteroids.Which patient statement indicates the need for further education after teaching?

The nurse is caring for a patient diagnosed with discoid lupus erythematosus.The nurse is collaborating with the patient to set goals for the nursing plan of care.Which is an appropriate goal for this patient?

A nurse is caring for a patient with systemic lupus erythematosus (SLE).The patient begins to cry stating,"I am afraid I will be disfigured because of all of these lesions." Which intervention does the nurse plan to teach this patient to minimize skin infections associated with SLE?

The nurse is caring for a patient who is hospitalized due to an exacerbation of systemic lupus erythematosus (SLE).The nurse is reviewing the patient's lab work and finds the white blood cell count (WBC)is shifted to the left.Based on this information,which is a priority nursing diagnosis for this patient?

During a home visit,the family of a patient with fibromyalgia asks the nurse what they can do to help the patient with painful episodes.What should the nurse suggest to the patient and family?

The nurse is collecting a health history for a patient in an outpatient clinic who reports joint pain and swelling for the last two months.The patient is diagnosed with rheumatoid arthritis (RA).When planning care for this patient,which statement supports the nursing diagnosis of Activity Intolerance?

The nurse is caring for a patient who was diagnosed with rheumatoid arthritis (RA)last year.The patient has recently been placed on prednisone for treatment.Which patient statement indicates that the medication teaching was successful?

A nurse is caring for a pregnant patient who has rheumatoid arthritis (RA).Based on this data,which does the nurse anticipate when providing care to this patient?

The patient enters the outpatient clinic and states to the triage nurse,"I think I have the flu.I'm so tired,I have no appetite,and everything hurts." The triage nurse assesses the patient and finds a butterfly rash over the bridge of nose and on the cheeks.Based on this data,which diagnosis does the nurse anticipate?

The mother of three teenagers is diagnosed with fibromyalgia and asks the nurse how to keep up with all of the children's activities.Which suggestion by the nurse is the most appropriate?

The nurse is providing care for a newly married woman with systemic lupus erythematosus (SLE).Which patient statement indicates an appropriate understanding of the plan of care?

A nurse is caring for a patient who is newly diagnosed with rheumatoid arthritis (RA).The patient asks the nurse what the difference is between RA and osteoarthritis (OA).Which response by the nurse is most appropriate?

The nurse is providing health education to a diverse group at a neighborhood community center.Why does the nurse plan to include signs and symptoms of systemic lupus erythematosus (SLE)?